ATI LPN
ATI LPN Med Surg Exam 3 Questions
Extract:
Question 1 of 5
At 0330, a nurse is caring for a postoperative client. The client's IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600?
Correct Answer: B
Rationale: 120 mL/hr × 2.5 hr (0330 to 0600) = 300 mL.
Extract:
Nurses’ Notes at 0700 hrs
The client has a history of diverticulitis and is allergic to penicillin. The client states that the pain started yesterday and has been worsening. He also reports nausea and vomiting, and he is unable to eat or drink anything without vomiting.
• Client presents with left lower quadrant (LLQ) pain, rated 9 on a 0 to 10 pain scale.
• Client is nauseous and has vomited twice since arrival.
• Client states he has not had a bowel movement in two days.
• Abdomen is distended and tender to palpation in the LLQ.
• Bowel sounds are hypoactive in all four quadrants.
• Client is oriented to person, place, and time.
• Client is able to move all extremities without difficulty.
Vital Signs at 0700 hrs
Temperature: 37.4°C (99.3°F)
• Heart rate: 100/min
• Respiratory rate: 20/min
• Blood pressure: 148/76 mm Hg
• Oxygen saturation: 97% on room air
Diagnostic Results at 0715 hrs
Sodium: 140 mEq/L (136-145 mEq/L)
• Potassium: 3.5 mEq/L (3.5-5.0 mEq/L)
• BUN: 19 mg/dL (10-20 mg/dL)
• Creatinine: 1.1 mg/dL (0.6-1.3 mg/dL)
• White Blood Cell Count: 28,000/mm³ (5,000-10,000/mm³)
Question 2 of 5
Based on the information provided, which of the following provider's prescriptions are anticipated, nonessential, or contraindicated for the client?
| Options | Anticipated | Nonessential | Contraindicated |
|---|---|---|---|
| Increase fiber intake | |||
| CT of the abdomen with contrast | |||
| Flexible sigmoidoscopy | |||
| Change IV fluids to 0.9% sodium chloride with KCl | |||
| Type and crossmatch blood | |||
| Administer IV piperacillin-tazobactam |
Correct Answer: B,C,D,E,F
Rationale: A: Nonessential. A high-fiber diet can prevent future diverticulitis but is not helpful during the acute phase, especially with vomiting. B: Anticipated. A CT scan confirms diverticulitis diagnosis and assesses severity. C: Anticipated. Sigmoidoscopy visualizes diverticula and inflammation extent. D: Anticipated. IV fluids with KCl address dehydration and maintain potassium levels. E: Anticipated. Blood typing is needed due to possible bleeding indicated by occult blood test and low hemoglobin. F: Contraindicated. Piperacillin-tazobactam is penicillin-based, and the client is allergic to penicillin.
Extract:
Question 3 of 5
The nurse is caring for a patient with a condition. The nurse understands that the patient is at risk for vitamin deficiency. What is the condition?
Correct Answer: C
Rationale: Condition C (pernicious anemia) impairs vitamin B12 absorption, causing deficiency.
Question 4 of 5
A nurse is providing care for a client who has recently been diagnosed with Clostridium difficile and is under contact precautions. What action should the nurse take?
Correct Answer: D
Rationale: Removing the gown before gloves follows proper PPE doffing sequence to prevent C. difficile spread.
Question 5 of 5
A nurse is caring for a patient who has a Clostridium difficile infection. Which cleansing agent should the nurse use for hand hygiene?
Correct Answer: D
Rationale: Soap and water remove C. difficile spores, unlike alcohol-based antiseptics.